
<!DOCTYPE html>
<html>

<head>

    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>H+ 后台主题UI框架 - 空白页</title>
    <meta name="keywords" content="">
    <meta name="description" content="">
     <link href="__STATIC__/layout/css/bootstrap.min.css?v=3.3.6" rel="stylesheet">
    <link href="__STATIC__/layout/css/animate.css" rel="stylesheet">
    <link href="__STATIC__/layout/css/style.css?v=4.1.0" rel="stylesheet">
    <link href="__STATIC__/layout/css/plugins/sweetalert/sweetalert.css" rel="stylesheet">
    <link href="__STATIC__/layout/css/gyq.css" rel="stylesheet">
    <link rel="stylesheet" href="__STATIC__/layout/css/demo.css" type="text/css">
</head>

<body style="color:#333;padding:3px;">
    <div style="margin:10px">
    <form action="" class="form-inline">
     <table class="table table-bordered bud_hei" style="margin-top:0">
        <tr>
            <td style="min-width: 120px;width: 120px">回款日期<span class="colorRed">*</span>：</td>
            <td>
              <input type="text" class="form-control" name="" readonly style="min-width: 180px;width: 180px">
            </td>
        </tr>
        <tr>
           <td style="min-width: 120px;width: 120px">经销商名称<span class="colorRed">*</span>：</td>
          <td><input type="text" name="" class="form-control" style="min-width: 180px;width: 180px"><a href="javascript:;" style="display: inline-block;">选择</a></td>
        </tr>
        <tr>
        <td style="min-width: 120px;width: 120px">销售人员：</td>
          <td><input type="text" class="form-control" name="" style="min-width: 180px;width: 180px">
            <a href="javascript:;" style="display: inline-block;">选择</a>
          </td>
        </tr>
        <tr>
        <td style="min-width: 120px;width: 120px">回款金额<span class="colorRed">*</span>：</td>
          <td><input type="text" name="" class="form-control" style="min-width: 180px;width: 180px"></td>
        </tr>
        <tr>
           <td style="min-width: 120px;width: 120px">回款事项备注：</td>
           <td>
               <textarea name="" id="" class="form-control" style="width: 80%;user-select:none">
        
              </textarea><span style="vertical-align: bottom;">(498)</span>
           </td>
        </tr>
     </table>
        <div class="form-group" style="margin:20px 10px 20px 20px">
        <input type="file" id="exampleInputFile">
        <p class="help-block" style="color:#1295d2">注：最多上传15个文件，每个文件小于50M,支持格式：</p>
        <p class="help-block" style="color:#1295d2;">jpg,bnp,gif,png,jpeg,tif,raw,doc,docx,xls,xlsx,ppt,pptx,txt,pdf,rar,zip,mp4,avi,rmvb,rm,mid,3gp,AVI,3GP,,mpg,mp3,wma,wav</p>
    </div>
       <div class="row text-center padding-10">
            <button class="btn btn-success">保存并返回</button>
            <span class="lr_5"></span>
            <button class="btn btn-warning" type="button" id="cancelBack">返回</button>
        </div>
    </form>
    </div>
    <script src="__STATIC__/layout/js/jquery.min.js?v=2.1.4"></script>
    <script src="__STATIC__/layout/js/bootstrap.min.js?v=3.3.6"></script>
    <!-- <script src="js/plugins/metisMenu/jquery.metisMenu.js"></script> -->
    <script src="__STATIC__/layout/js/plugins/slimscroll/jquery.slimscroll.min.js"></script>
    <script src="__STATIC__/layout/js/plugins/layer/layer.min.js"></script>

    </body>
   
</html>